CBT Relapse Prevention & Maintenance Strategies 3

Question 1

Self-efficacy in relapse prevention, as described by Bandura, refers to:

Accepted Answer

The client's belief in their ability to cope successfully with specific high-risk situations

Answer

The therapist's confidence in the chosen treatment approach

Answer

The client's level of awareness and insight about their diagnosis

Answer

The client's motivation to initially seek treatment

Question 2

Which relapse prevention strategy maps out the chain of events, thoughts, and feelings leading to a problem behavior and identifies multiple intervention points?

Accepted Answer

Chain analysis (behavioral chain analysis)

Answer

Systematic desensitization hierarchy

Answer

Thought stopping

Answer

In vivo flooding

Question 3

'Urge surfing' is a mindfulness-based relapse prevention technique that teaches clients to:

Accepted Answer

Observe cravings as temporary waves without acting on them until the urge subsides

Answer

Suppress cravings through active distraction techniques

Answer

Confront the source of their cravings directly through behavioral activation

Answer

Replace cravings with positive affirmations and self-talk

Question 4

What is the primary clinical purpose of scheduling 'graduated spacing' of sessions toward the end of CBT treatment?

Accepted Answer

To give clients progressively longer periods to practice managing independently before termination

Answer

To reduce therapist caseload and increase clinic efficiency

Answer

To test whether clients have adequately memorized CBT techniques

Answer

To comply with insurance authorization limitations on session frequency

Question 5

In relapse prevention for depression, which cognitive-behavioral strategy best helps clients recognize the earliest warning signs of recurrence?

Accepted Answer

Regular mood monitoring and personalized early warning sign identification

Answer

Dream analysis and unconscious content exploration

Answer

Free association to uncover repressed material

Answer

Progressive muscle relaxation as the sole coping strategy

Question 6

A client in the maintenance phase reports feeling overwhelmed and notices the same thoughts that preceded their last depressive episode. According to CBT relapse prevention, the FIRST recommended step is to:

Accepted Answer

Review the maintenance plan and activate pre-planned coping responses

Answer

Immediately contact emergency services for crisis intervention

Answer

Stop all activities and rest passively until symptoms resolve on their own

Answer

Wait to see if symptoms worsen significantly before taking any action

Question 7

Which of the following is NOT typically included in a CBT maintenance or relapse prevention plan?

Accepted Answer

Complete and permanent avoidance of all previously problematic situations

Answer

A personalized list of high-risk situations and triggers

Answer

Strategies for managing lapses if they occur

Answer

Emergency contact information and a crisis action plan